| NPI | 1467816157 |
|---|---|
| Former Name | BILLIE RAE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.342871) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |